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Erschienen in: Current Reviews in Musculoskeletal Medicine 4/2020

09.05.2020 | The Use of Technology in Orthopaedic Surgery—Intraoperative and Post-Operative Management (C Krueger and S Bini, Section Editors)

Using Patient Engagement Platforms in the Postoperative Management of Patients

verfasst von: Kevin Campbell, Philip Louie, Brett Levine, Jeremy Gililland

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 4/2020

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Abstract

Purpose of Review

The purpose of this review is to contextualize the topic of patient engagement in orthopedic surgery. There will be a specific focus on patient engagement platforms and the impact on outcomes and orthopedic clinical workflows.

Recent Findings

In an attempt to engage patients and optimize the orthopedic perioperative surgical home, patient engagement platforms have emerged in the form of portals, mobile health applications, and chatbots. Collectively, these platforms have improved patient satisfaction scores and outcomes.

Summary

Patient portals, mobile health applications, and chatbots can engage orthopedic patients and improve the effectiveness of the perioperative orthopedic surgical home. There are specific differences in these applications that should be noted and accounted for. When deciding to incorporate one of these systems into your practice, it is paramount to identify what you are looking to improve upon within your health system and choose a platform accordingly.
Literatur
1.
Zurück zum Zitat Miller AN, Lake AF, Emory CL. Establishing a fracture liaison service: an orthopaedic approach. JBJS. 2015;97(8):675–81.CrossRef Miller AN, Lake AF, Emory CL. Establishing a fracture liaison service: an orthopaedic approach. JBJS. 2015;97(8):675–81.CrossRef
2.
Zurück zum Zitat Salmond SW, Echevarria M. Healthcare transformation and changing roles for nursing. Orthop Nurs. 2017;36(1):12–25.CrossRef Salmond SW, Echevarria M. Healthcare transformation and changing roles for nursing. Orthop Nurs. 2017;36(1):12–25.CrossRef
3.
Zurück zum Zitat Moulton LS, Evans PA, Starks I, Smith T. Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome. Int Orthop. 2015;39(8):1483–6.CrossRef Moulton LS, Evans PA, Starks I, Smith T. Pre-operative education prior to elective hip arthroplasty surgery improves postoperative outcome. Int Orthop. 2015;39(8):1483–6.CrossRef
8.
Zurück zum Zitat •• Ramkumar PN, Haeberle HS, Ramanathan D, et al. Remote patient monitoring using mobile health for total knee arthroplasty: validation of a wearable and machine learning-based surveillance platform. J Arthroplasty. 2019;34(10):2253–9. https://doi.org/10.1016/j.arth.2019.05.021Demonstrated the feasibility of remote patient monitoring with a wearable deivce in a group of patients who underwent TKA. CrossRefPubMed •• Ramkumar PN, Haeberle HS, Ramanathan D, et al. Remote patient monitoring using mobile health for total knee arthroplasty: validation of a wearable and machine learning-based surveillance platform. J Arthroplasty. 2019;34(10):2253–9. https://​doi.​org/​10.​1016/​j.​arth.​2019.​05.​021Demonstrated the feasibility of remote patient monitoring with a wearable deivce in a group of patients who underwent TKA. CrossRefPubMed
9.
10.
Zurück zum Zitat Hibbard JH. Patients with lower activation associated with higher costs; delivery systems should know their patients ‘Scores’. Health Aff. 2013;32(2):216–22.CrossRef Hibbard JH. Patients with lower activation associated with higher costs; delivery systems should know their patients ‘Scores’. Health Aff. 2013;32(2):216–22.CrossRef
12.
Zurück zum Zitat •• Jayakumar P, Di J, Fu J, et al. A patient-focused technology-enabled program improves outcomes in primary total hip and knee replacement surgery. JBJS Open Access. 2017;2(3):e0023. Published 2017 Jul 25. https://doi.org/10.2106/JBJS.OA.16.00023. Demonstrated that an orthopedic technology-enabled program can allow for shorter durations of inpatient stay without a negative impact on clinical outcomes and improved patient-focused outcomes and experience in patients undergoing knee and hip arthroplasty. •• Jayakumar P, Di J, Fu J, et al. A patient-focused technology-enabled program improves outcomes in primary total hip and knee replacement surgery. JBJS Open Access. 2017;2(3):e0023. Published 2017 Jul 25. https://​doi.​org/​10.​2106/​JBJS.​OA.​16.​00023. Demonstrated that an orthopedic technology-enabled program can allow for shorter durations of inpatient stay without a negative impact on clinical outcomes and improved patient-focused outcomes and experience in patients undergoing knee and hip arthroplasty.
16.
Zurück zum Zitat •• Rosner BI, Gottlieb M, Anderson WN. Effectiveness of an automated digital remote guidance and telemonitoring platform on costs, readmissions, and complications after hip and knee arthroplasties. J Arthroplast. 2018;33(4):988–996.e4. https://doi.org/10.1016/j.arth.2017.11.036Demonstrated that orthopedic digital patient engagement platforms can reduce 90 day post-operative costs, readmissions, and complications. CrossRef •• Rosner BI, Gottlieb M, Anderson WN. Effectiveness of an automated digital remote guidance and telemonitoring platform on costs, readmissions, and complications after hip and knee arthroplasties. J Arthroplast. 2018;33(4):988–996.e4. https://​doi.​org/​10.​1016/​j.​arth.​2017.​11.​036Demonstrated that orthopedic digital patient engagement platforms can reduce 90 day post-operative costs, readmissions, and complications. CrossRef
17.
Zurück zum Zitat •• Campbell KJ, Louie PK, Bohl DD, et al. A novel, automated text-messaging system is effective in patients undergoing total joint arthroplasty. J Bone Joint Surg Am. 2019;101(2):145–51. https://doi.org/10.2106/JBJS.17.01505First randomized clinical trial in orthopedic surgery demonstrating that a SMS chatbot can improvement subjective and objective patient outcomes. CrossRefPubMed •• Campbell KJ, Louie PK, Bohl DD, et al. A novel, automated text-messaging system is effective in patients undergoing total joint arthroplasty. J Bone Joint Surg Am. 2019;101(2):145–51. https://​doi.​org/​10.​2106/​JBJS.​17.​01505First randomized clinical trial in orthopedic surgery demonstrating that a SMS chatbot can improvement subjective and objective patient outcomes. CrossRefPubMed
18.
Zurück zum Zitat Hibbard JH, Greene J. What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Aff (Millwood). 2013 Feb;32(2):207–14.CrossRef Hibbard JH, Greene J. What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs. Health Aff (Millwood). 2013 Feb;32(2):207–14.CrossRef
23.
Zurück zum Zitat Piqueras M, Marco E, Coll M, Escalada F, Ballester A, Cinca C, et al. Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthroplasty: a randomized controlled trial. J Rehabil Med. 2013;45(4):392–6.CrossRef Piqueras M, Marco E, Coll M, Escalada F, Ballester A, Cinca C, et al. Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthroplasty: a randomized controlled trial. J Rehabil Med. 2013;45(4):392–6.CrossRef
25.
Zurück zum Zitat Roberts N, Bradley B, Williams D. Use of SMS and tablet computer improves the electronic collection of elective orthopaedic patient reported outcome measures. Ann R Coll Surg Engl. 2014;96(5):348–51.CrossRef Roberts N, Bradley B, Williams D. Use of SMS and tablet computer improves the electronic collection of elective orthopaedic patient reported outcome measures. Ann R Coll Surg Engl. 2014;96(5):348–51.CrossRef
26.
Zurück zum Zitat North F, Crane SJ, Chaudhry R, Ebbert JO, Ytterberg K, Tulledge-Scheitel SM, et al. Impact of patient portal secure messages and electronic visits on adult primary care office visits. Telemed e-Health. 2014;20(3):192–8.CrossRef North F, Crane SJ, Chaudhry R, Ebbert JO, Ytterberg K, Tulledge-Scheitel SM, et al. Impact of patient portal secure messages and electronic visits on adult primary care office visits. Telemed e-Health. 2014;20(3):192–8.CrossRef
27.
Zurück zum Zitat Jung C, et al. Who are portal users vs. early e-Visit adopters? A preliminary analysis. AMIA Annual Symposium Proceedings. Vol. 2011. American Medical Informatics Association, 2011. Jung C, et al. Who are portal users vs. early e-Visit adopters? A preliminary analysis. AMIA Annual Symposium Proceedings. Vol. 2011. American Medical Informatics Association, 2011.
33.
Zurück zum Zitat Powell AC, Landman AB, Bates DW. In search of a few good apps. JAMA. 2014;311:1851–2.CrossRef Powell AC, Landman AB, Bates DW. In search of a few good apps. JAMA. 2014;311:1851–2.CrossRef
34.
Zurück zum Zitat Sunyaev A, Dehling T, Taylor PL, Mandl KD. Availability and quality of mobile health app privacy policies. J Am Med Inform Assoc. 2015;22:e28–33.PubMed Sunyaev A, Dehling T, Taylor PL, Mandl KD. Availability and quality of mobile health app privacy policies. J Am Med Inform Assoc. 2015;22:e28–33.PubMed
35.
Zurück zum Zitat Dehling T, Gao F, Schneider S, Sunyaev A. Exploring the far side of mobile health: information security and privacy of mobile health apps on iOS and android. JMIR Mhealth Uhealth. 2015;3:E8.CrossRef Dehling T, Gao F, Schneider S, Sunyaev A. Exploring the far side of mobile health: information security and privacy of mobile health apps on iOS and android. JMIR Mhealth Uhealth. 2015;3:E8.CrossRef
36.
Zurück zum Zitat Terry NP. Mobile health: assessing the barriers. Chest. 2015;147:1429–34.CrossRef Terry NP. Mobile health: assessing the barriers. Chest. 2015;147:1429–34.CrossRef
38.
Zurück zum Zitat Gentsch P. AI in marketing, sales and service. Frankfort: Palgrave Macmillan; 2019. p. 178.CrossRef Gentsch P. AI in marketing, sales and service. Frankfort: Palgrave Macmillan; 2019. p. 178.CrossRef
Metadaten
Titel
Using Patient Engagement Platforms in the Postoperative Management of Patients
verfasst von
Kevin Campbell
Philip Louie
Brett Levine
Jeremy Gililland
Publikationsdatum
09.05.2020
Verlag
Springer US
Erschienen in
Current Reviews in Musculoskeletal Medicine / Ausgabe 4/2020
Elektronische ISSN: 1935-9748
DOI
https://doi.org/10.1007/s12178-020-09638-8

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